CLIA lab
CLIA 50D0629678: Kaiser Permanente Northshore Lab
Bothell, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D0629678 belongs to Kaiser Permanente Northshore Lab in Bothell, WA.
Certificate for Provider-Performed Microscopy Procedures, effective March 1, 2008, expires April 4, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- March 1, 2008
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Health maintenance organization
- Ownership (control type)
- Private
- Lab classification
- CLIA exempt laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 50D0629678
- Lab name
- Kaiser Permanente Northshore Lab
- Address
- 11913 NE 195th Street, Bothell, WA 98011
- Phone
- (425) 489-3171
- Fax
- (425) 489-3127
Annual test volume the lab reported
- Waived tests
- 1,460
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Kaiser Permanente Northshore Lab in Bothell?
50D0629678, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kaiser Permanente Northshore Lab hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 50D0629678 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect March 1, 2008.